ATI Peds Medication

Nurse is preparing to administer morphine .05 mg/kg intermittent IV bolus to a newborn who weighs 3kg. Available is morphine .5 mg/mL injection. How many mL should the nurse administer. Round to nearest tenth.

0.3 mL .05 x 3kg = .15mg divided by .5 = 0.3 mL

A nurse is administering .9% sodium chloride, 6mL/kg IV to infuse over 2 hours to an infant who weighs 8 kg. What should the nurse set the IV pump to deliver? How many mL/hr?

24 mL/kg 6 times 8 = 48 divided by 2 = 24

Nurse is preparing to administer dextrose 5% in water (D5W) 20 mL/kg IV to infuse over 4 hr to an adolescent who weight 57kg. The nurse should set the IV pumpt o deliver how many mL/hr? round to nearest whole number

285 mL/hr 20 x 57 = 1,140 divided by 4 = 285

Nurse is administering lactated Ringer's solution 25 mL/kg to infuse over 12 hr to a toddler who weighs 14 kg. The nurse should set the IV pump to deliver how many mL/hr? Round to whole number

29 mL/hr 25 ml/kg x 14 kg = 350mL / 12 hr = 29.16 ~29 mL/hr

Nurse is preparing to administer dexamethasone 0.3 mg/kg/day PO divided in equal doses every 12 hr to a school-age child who weighs 50 lb. Available is dexamethasone oral solution 0.5 mg/5 mL. How many mL should the nurse administer per dose? round to whole number

34 mL convert to kg (22.72kg) times 0.3 mg/kg = 6.8181mg / 2 = 3.409 mg (3.409 mg x 5 mL ) divided by 0.5 mg = 34 mL

Nurse is converting infant's weight in lb and oz to kg. The infant weights 9 lb 4oz. What is the infant's weight in kg? Round to the nearest tenth

4.2 kg

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 15 mL/kg IV to infuse over 8 hr to a school-age child who weighs 22kg. The nurse should set the IV pump to deliver how many mL/hr? round to whole number.

41 mL/hr 15 mL/kg x 22 kg = 330 mL 330/8 = 41.25 mL/hr ~ 41 mL/hr

Convert 120 lbs to kg. round to the nearest tenth

54.5 kg

Convert infant's weight from lb and oz to kg. The infant weighs 13 lb 8 oz. Round to nearest tenth

6.1 kg

Infant is 6kg, what is their daily fluid requirement?

600mL, 100mL per kg

A nurse is caring for a child who weighs 22kg. What is the child's daily maintenance fluid requirement? round to nearest whole number

1,540 mL For a child's daily maintenance, it is 100 mL/kg for the first 10 kg 50mL/kg for the second 10kg, and 20mL/kg for the rest of the weight in kg.

Nurse is caring for a school aged child who weighs 35kg. What's the child's daily maintenance fluid requirement?

1,800 mL

A nurse is administering furosemide 2 mg/kg/dose PO every 8 hours to an infant who weighs 12 lbs. The available furosemide oral solution is 10mg/mL. How many mL should the nurse administer per dose? (round to nearest tenth)

1.1 mL/dose convert to kg kg x 2 = 10.909090 divided by 10mg = 1.0909 ~ 1.1

Nurse is preparing to administer famotidine 1 mg/kg/day PO divided equally every 12 hr to a child who weights 41lb. Available is famotidine oral suspension 40 mg/5 mL. How many mL should the nurse administer per dose? round to nearest tenth

1.2 mL convert to kg (18.63kg) dose is divided equally every 12 hours -> 9.318 mg 9.318 x 5mL -> divided by 40 mg = 1.164 ~ 1.2 mL

Toddler weights 13.5 kg. What is the toddler's daily maintenance fluid requirement? Nearest whole number

1175 mL

Nurse is administering dextrose 5% in water (D5W) 7 mL/kg IV to infuse over 6 hr to a toddler who weighs 11 kg. Nurse should set the IV pump to deliver how many mL/hr? Round to whole number

13 mL/hr 7 mL/kg x 11kg = 77 mL 77/6 = 12.833 mL/hr ~ 13 mL/hr

Child weighs 18 kg. What's the child's daily maintenance fluid requirement? Round to nearest whole number

1400 mL

Adolescent is 57 kg, what is the daily maintenance fluid requirement?

2,240 mL

A nurse is preparing to administer a dose of liquid medication to a 6 month old infant. Which of the following actions should the nurse take? A. Offer the infant a feeding after administering the medication. B. Place the medication dropper on the center of the infant's tongue to administer the medication. C. Mix the medication in a bottle with 30 mL (1 oz) of infant formula to disguise the taste. D. Use a household teaspoon to measure and administer the medication.

A

A charge nurse is reviewing techniques for the safe administration of medications to children with a newly licensed nurse. Which of the following statements should the nurse make? A. Confirm chemotherapy medication dosages using a body surface area nomogram B. Ask preschoolers their name to confirm their identity prior to administering medication C. Calculate medication dosages based on a child's age, not their weight. D. Use paper cups to administer liquid dosages of medications.

A Used to ensure safe administration of medication

A nurse is teaching a newly licensed nurse about administering IM injections to children. Which of the following statements should the nurse make? A."You should use the deltoid muscle for intramuscular injections in young infants." B. "Insert the needle at a 60-degree in angle for an intramuscular injection." C. "Do not inject more than 1 milliliter for an intramuscular injection in infants." D. "You should aspirate for blood when administering intramuscular vaccines."

C

A nurse is preparing to administer immunizations to a preschooler. Which of the following actions should the nurse take? A. Request the preschooler's parent leave the room during the injections. B. Tell the preschooler that the injections are not going to hurt. C. Tell the preschooler to remain quiet during the injections. D. How the preschooler blow bubbles during the injections.

D

A nurse is planning to administer an IM medication to a 2 month old infant. Which of the following actions should the nurse plan to take? A. Draw the medication up using a 3mL syringe. B. Use a needle that is 1 3/4 inches long. C. Apply lidocaine cream to the site 10 minutes prior to the injection. D. Use a 25 gauge needle for the injection

D The nurse should use a 22-30 gauge needle to administer an IM injection for a 2 month old infant to prevent tissue damage.

Convert 44 lbs to kg.

20kg (2.2lbs = 1kg)

Nurse is preparing to administer clindamycin 10 mg/kg PO divided in equal doses every 8 hr to a toddler who weighs 30 lbs. Available is clindamycin oral suspension 75 mg/5 mL. How many mL should the nurse administer per dose? Round to whole number

3 mL/dose convert to kg = 13.63kg x 10 mg/kg = 136.36kg divided by 3 = (45.45 mg x 5) divided by 75 mg = 3.03mL